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2ND CHANCE ADVANCEMENT LLC NPI 1699550632


NPI Information

NPI: 1699550632
Provider Name: 2ND CHANCE ADVANCEMENT LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
509 LOCK LN
PETERSBURG, VA
ZIP 23805
Phone: (804) 503-9828
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2ND CHANCE ADVANCEMENT LLC is a day training developmentally disabled services in Petersburg, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. 2ND CHANCE ADVANCEMENT LLC NPI is 1699550632. The provider is registered as an organization entity type.

The provider's business location address is:

509 LOCK LN
PETERSBURG, VA
ZIP 23805-542
Phone: (804) 503-9828

The provider's authorized official is Antonio Lajuan Bradley .
The authorized official title is Owner and has the following contact phone number (804) 503-9828.

The enumeration date for this NPI number is 8/28/2023 and was last updated on 8/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareNo
2253Z00000XIn Home Supportive CareNo
3320700000XResidential Treatment Facility, Physical DisabilitiesNo
4343900000XNon-emergency Medical Transport (VAN)No
5251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.